22 Tex. Admin. Code § 163.4 - Physician Responsibilities when Leaving a Practice

(a) Upon retirement, termination of employment, or leaving a medical practice, a physician must provide patients reasonable notice to obtain copies of their records or arrange for the transfer of their medical records by:
(1) letter or email to each patient seen in the last two years by the departing physician; and
(2) posting a notice in a conspicuous location in the physician's/practice office and on the practice website at least 30 days prior to the termination, leaving, or sale or relocation of practice.
(b) The notice must include:
(1) the date of the termination, retirement, or departure;
(2) instructions as to how patients may obtain or transfer their medical records;
(3) the name and location of new practice, if any; and
(4) the name of another licensed physician, practice, or custodian if ownership of records is changing.
(c) If the physician's license is surrendered or revoked, the notice must be provided immediately in accordance with this section.
(d) The following physicians are exempt from providing notice to patients:
(1) a locum tenens physician at a practice location for less than six months;
(2) a physician who only treated the patient in the following settings:
(A) a hospital, as defined under §157.051(6) of the Act;
(B) an emergency room;
(C) a birthing center; or
(D) an ambulatory surgery center; or
(3) a physician who only provided the following service:
(A) anesthesia;
(B) radiology; or
(C) pathology.
(e) Responsibilities of Practice
(1) A physician, physician group, or practice must provide a list of patients seen by the departing physician in the last two years for the purposes of providing notice to patients.
(2) A departing physician's group or practice is not required to provide the requisite notice to patients.
(3) If the departing physician's group or practice agrees to provide the requisite notices to patients, they must do so in accordance with this section.
(4) No physician remaining at the group or practice may prevent or interfere with the departing physician's duties to provide notices described by this section.

Notes

22 Tex. Admin. Code § 163.4
The provisions of this §163.4 adopted to be effective November 10, 1999, 24 TexReg 9835; amended to be effective May 21, 2000, 25 TexReg 4348; amended to be effective March 7, 2002, 27 TexReg 1487; amended to be effective January 9, 2003, 28 TexReg 67; amended to be effective May 2, 2004, 29 TexReg 3961; amended to be effective January 25, 2006, 31 TexReg 382; amended to be effective June 28, 2006, 31 TexReg 5098; amended to be effective July 3, 2007, 32 TexReg 3991; amended to be effective August 10, 2008, 33 TexReg 6133; amended to be effective September 21, 2009, 34 TexReg 6449; amended to be effective November 29, 2009, 34 TexReg 8530; amended to be effective July 4, 2012,37TexReg 4925; amended to be effective August 3, 2014, 39 TexReg 5748; Amended by Texas Register, Volume 42, Number 46, November 17, 2017, TexReg 6510, eff. 11/26/2017; Adopted by Texas Register, Volume 50, Number 02, January 10, 2025, TexReg 0335, eff. 1/9/2025

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